Effect of high and low frequency exercise therapy in patients after coronary artery bypass graft surgery
Background Coronary artery bypass graft (CABG) surgery is one of the major surgeries requiring long-term stay in hospital. This generally leads to the detrimental effects of bed-rest, including dependency in self-care, transfer, and locomotion. Our aim was to compare the effect of high-frequency an...
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The Lancet
2017
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my.umk.eprints.75332022-05-23T10:00:58Z http://discol.umk.edu.my/id/eprint/7533/ Effect of high and low frequency exercise therapy in patients after coronary artery bypass graft surgery Muruganandam Periyasami Pasupuleti Visweswara Rao Jan Mei Soon Background Coronary artery bypass graft (CABG) surgery is one of the major surgeries requiring long-term stay in hospital. This generally leads to the detrimental effects of bed-rest, including dependency in self-care, transfer, and locomotion. Our aim was to compare the effect of high-frequency and low-frequency exercise therapy in patients who had undergone CABG. Methods Patients who had undergone CABG were recruited from PSG Medical College and Hospital, Coimbatore, India, between Jan 1 and March 31, 2006. Functional Independence Measure (FIM) and modified Borg Rating of Perceived Exertion (RPE) were used to assess functional outcome. In a quasi-experimental design, patients received either high-frequency exercise therapy (exercise three times a day for 10 days, group 1), or low-frequency exercise therapy (once a day for 10 days, group 2). Data were analysed with paired t tests. Findings 30 patients were recruited (15 in each group). Mean FIM was 75 (SD 1·77) in group 1 and 64 (1·65) in group 2. There was a significant difference between the pretest and post-test FIM values in group 1 patients (49·07 [2·43] vs 124·07 [1·75], p<0·0001) but not in group 2 patients. The RPE in group 1 and group 2 was 6·3 (0·62) and 4·2 (0·7), respectively. Interpretation Patients given high-frequency exercise thearpy had a significant improvement in their physical activity, but low-frequency exercise did not lead to significantly improved changes. In conclusion, the high-frequency exercise therapy improves the functional ability of patients with CABG. Funding None. The Lancet 2017-02-23 Indexed Article NonPeerReviewed Muruganandam Periyasami and Pasupuleti Visweswara Rao and Jan Mei Soon (2017) Effect of high and low frequency exercise therapy in patients after coronary artery bypass graft surgery. The Lancet, 389 (1). S79. http://www.sciencedirect.com/science/article/pii/S0140673617304750?via%3Dihub |
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Background
Coronary artery bypass graft (CABG) surgery is one of the major surgeries requiring long-term stay in hospital. This generally leads to the detrimental effects of bed-rest, including dependency in self-care, transfer, and locomotion. Our aim was to compare the effect of high-frequency and low-frequency exercise therapy in patients who had undergone CABG.
Methods
Patients who had undergone CABG were recruited from PSG Medical College and Hospital, Coimbatore, India, between Jan 1 and March 31, 2006. Functional Independence Measure (FIM) and modified Borg Rating of Perceived Exertion (RPE) were used to assess functional outcome. In a quasi-experimental design, patients received either high-frequency exercise therapy (exercise three times a day for 10 days, group 1), or low-frequency exercise therapy (once a day for 10 days, group 2). Data were analysed with paired t tests.
Findings
30 patients were recruited (15 in each group). Mean FIM was 75 (SD 1·77) in group 1 and 64 (1·65) in group 2. There was a significant difference between the pretest and post-test FIM values in group 1 patients (49·07 [2·43] vs 124·07 [1·75], p<0·0001) but not in group 2 patients. The RPE in group 1 and group 2 was 6·3 (0·62) and 4·2 (0·7), respectively.
Interpretation
Patients given high-frequency exercise thearpy had a significant improvement in their physical activity, but low-frequency exercise did not lead to significantly improved changes. In conclusion, the high-frequency exercise therapy improves the functional ability of patients with CABG.
Funding
None. |
format |
Indexed Article |
author |
Muruganandam Periyasami Pasupuleti Visweswara Rao Jan Mei Soon |
spellingShingle |
Muruganandam Periyasami Pasupuleti Visweswara Rao Jan Mei Soon Effect of high and low frequency exercise therapy in patients after coronary artery bypass graft surgery |
author_facet |
Muruganandam Periyasami Pasupuleti Visweswara Rao Jan Mei Soon |
author_sort |
Muruganandam Periyasami |
title |
Effect of high and low frequency exercise therapy in patients after coronary artery bypass graft surgery |
title_short |
Effect of high and low frequency exercise therapy in patients after coronary artery bypass graft surgery |
title_full |
Effect of high and low frequency exercise therapy in patients after coronary artery bypass graft surgery |
title_fullStr |
Effect of high and low frequency exercise therapy in patients after coronary artery bypass graft surgery |
title_full_unstemmed |
Effect of high and low frequency exercise therapy in patients after coronary artery bypass graft surgery |
title_sort |
effect of high and low frequency exercise therapy in patients after coronary artery bypass graft surgery |
publisher |
The Lancet |
publishDate |
2017 |
url |
http://discol.umk.edu.my/id/eprint/7533/ http://www.sciencedirect.com/science/article/pii/S0140673617304750?via%3Dihub |
_version_ |
1763303855020310528 |
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13.211869 |